ArticleAddiction (Abingdon, England)2018
Multi-level analysis of alcohol-related injury, societal drinking pattern and alcohol control policy: emergency department data from 28 countries.
Article in Addiction (Abingdon, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Patient perceptions of facilitators and barriers to reducing hazardous alcohol use among people living with HIV in East Africa.Substance abuse treatment, prevention, and policy · 2023Article
- Involvement of alcohol in injury cases in rural Sri Lanka: prevalence and associated factors among in-patients in three primary care hospitals.BMC public health · 2022Article
- Road traffic injury risk from alcohol and cannabis use among emergency department patients in Argentina.Revista panamericana de salud publica = Pan American journal of public health · 2022Article
- Road traffic injuries and substance use among emergency department patients in the Dominican Republic and Peru.Revista panamericana de salud publica = Pan American journal of public health · 2021Article
- The interactive effect of location, alcohol consumption and non-traffic injury.Addiction (Abingdon, England) · 2020Article
- Validity of self-reports of drinking before injury by cause of injury and societal context among emergency department patients.Drug and alcohol review · 2019Article
- Dose-Response Relative Risk of Injury From Acute Alcohol Consumption in 22 Countries: Are Women at Higher Risk Than Men?Alcohol and alcoholism (Oxford, Oxfordshire) · 2019Article
- Dose-Response Relationship of Alcohol and Injury Cause: Effects of Country-Level Drinking Pattern and Alcohol Policy.Alcoholism, clinical and experimental research · 2019Article
- Estimating alcohol-attributable fractions for injuries based on data from emergency department and observational studies: a comparison of two methods.Addiction (Abingdon, England) · 2019Article
- A multi-level analysis of emergency department data on drinking patterns, alcohol policy and cause of injury in 28 countries.Drug and alcohol dependence · 2018Article
- Risk of Alcohol-Related Injury: Does Societal Drinking Context Make a Difference?Journal of studies on alcohol and drugs · 2018Article
- The GENAHTO Project (Gender and Alcohol's Harm to Others): Design and methods for a multinational study of alcohol's harm to persons other than the drinker.International journal of alcohol and drug research · 2018Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
BACKGROUND AND
aimsSocietal-level volume and pattern of drinking and alcohol control policy have received little attention in the alcohol and injury literature. The aim of this study was to estimate the association between alcohol-related injury, individual-level drinking variables, country-level detrimental drinking pattern and alcohol policy.
designProbability samples of emergency department (ED) patients from the International Collaborative Alcohol and Injury Study (ICAIS), which includes four collaborative ED studies on alcohol and injury, all using a similar methodology, were analyzed with multi-level modeling of individual-level drinking variables and aggregate-level variables (country drinking pattern and alcohol policy) on alcohol-related injury in 33 ED studies.
settingSixty-two emergency departments in 28 countries covering five regions.
participantsA total of 14 390 injured patients arriving to the ED within 6 hours following injury. MEASURES: Alcohol-related injuries (self-reported drinking prior to the event and causal attribution of injury to drinking) were analyzed in relation to individual-level volume and pattern of drinking, study-level alcohol volume, country detrimental drinking pattern (DDP) and an alcohol policy measure, the International Alcohol Policy and Injury Index (IAPII). The IAPII includes four regulatory domains: availability, vehicular, advertising and drinking context.
findingsControlling for demographic characteristics, individual-level drinking and study-level volume, the IAPII was associated significantly with the proportion of both self-reported drinking [confidence interval (CI) = 0.97-0.99; P < 0.001] and causal attribution (CI = 0.97-0.99; P < 0.01) and DDP had little effect on these associations. All four domains were significantly predictive of self-reported drinking [availability (CI = 0.93-0.98, P < 0.01); vehicular (CI = 0.91-0.97, P < 0.001); advertising CI = 0.82-0.94, P < 0.01); and context (CI = 0.93-0.99, P < 0.01], while only the vehicular domain was significantly predictive of causal attribution (CI = 0.92-0.99; P < 0.05).
conclusionsThe more restrictive the alcohol policy in a country, the lower the rate of alcohol-related injury, with country-level drinking pattern having little effect on this relationship.
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